CMS Price Transparency Data

Inguinal hernia repair

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,532

about 0.7× the $3,658 Medicare rate · typically $1,466–$3,457

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,206

Above the fair price

about $674 over the fair price · 0.9× Medicare

Medicare pays $3,658 Fair price $2,532 This hospital $3,206

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $482 Priciest $3,206

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $2,532 (about 0.7× the $3,658 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $3,206 — above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,532. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$3,200	87%
Blue Cross Blue Shieldmajor	$1,281 - $4,414	35%
Aetnamajor	$540 - $3,701	15%
Cignamajor	$3,634	99%
AmeriHealth	$1,189 - $3,634	33%
Geisinger	$1,305	36%
HealthPartners	$1,229	34%
UPMC Health Plan	$733 - $4,033	20%
+ 2 smaller / regional plans	$1,287 - $3,365

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm UPMC Children's Hospital of Pittsburgh is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UPMC Children's Hospital of Pittsburgh

Compare: Inguinal hernia repair at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.